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<br />APPLICATION FOR PERMIT <br />CITY OF ZEPHYRHILLS <br />BUILDING DEPARTMENT <br /> <br />APPLICANT C.O\\.lQ.\('c. i 'r10 C- //$;~~ <br />ADDRESS ~ ~ ":) S. G-o..\l ~ \ Ij rl . <br />C. 0 Nc. \ ~t. ) l N C. <br />~ :) ') S G-o..U \:) \ 0 d. . <br /> <br />B:~'l 0 - \? ~ 'i-..d <br /> <br />OWNER <br /> <br />JOB LOCATION <br /> <br />LOT SIZE_X <br /> <br />AREA SQ. FT.J ~OO <br /> <br />LEGAL DESCRIPTION: LOT(S) <br /> <br />BLOCK <br /> <br />SUBDIVISION <br /> <br />PARCEL I.D.# <br />WORK PROPOSED:~New Construction ____Addition ____Alteration _Repair ____Install <br /> <br />____Sign/Temp. <br /> <br />____Sign <br /> <br />_Move <br /> <br />____Demolish <br /> <br />PROPOSED USE: ____Single Family <br />Xcommercial <br /> <br />____M/F <br /> <br />____4F of Uni ts <br /> <br />_____M / H <br /> <br />____Indust. <br /> <br />_Swim. Pool <br /> <br />Other <br /> <br />_Restaurant & Health Department Approval <br /> <br />BUILDING SIZE: ~ \ X ~ (,) , <br /> <br />\ (P 00 <br /> <br />Square Feet, <br /> <br />Height <br /> <br />R,ESII:>ENTIf.:r.. : <br />COMMERCIAL : <br /> <br />ATTACH (2) PLOT PLANS & (2) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />ATTACH (3) SETS OF BUILDING PLANS & (1) SET ENERGY FORMS.** <br />**COPY OF CONTRACT REQUIRED. <br /> <br />PERMITS REOUESTED <br /> <br />_BUILDING <br />LELECTRICAL <br />--.:L..MECHANICAL <br />...:L-PLUMBING <br /> <br />$ <br /> <br />c;Q'3 ) 00 () <br /> <br />AMP Service <br /> <br />Valuation of Total Construction <br /> <br />~ Florida Power Corp. <br /> <br />_W.R.E.C. <br /> <br />$ <br /> <br />Valuation of Mechanical Installation <br /> <br />GAS <br /> <br />ROOFING <br /> <br />SPECIALTY <br /> <br />TYPE OF CONSTRUCTION: ____Block ____Frame ____Steel <br /> <br />Other <br /> <br />FINISHED FLOOR ELEVATIONS: FT. <br /> <br />****************************************** <br /> <br /> <br /> <br />CONTRACTOR SEC~~ <br />Company ~ (j t. l) E \0 f ~ t 1,,)'1- c.o 0; r w c... . <br />State Cert. or gist. IF c.:'D ~C\ ~-:s <br />Ci ty License Regis tra tion IF -:l:t I <l <br />****************** *********************** <br /> <br />Signat <br /> <br />ELECTRTCTAN Company X\\ Jo..\I'-\~ ~\ t \t~'\ \r <br />~ 71 ~ L State Cert. or Regist. IF . eRoollllo <br />Signature fO. . ',. j- Ci'ty License Registration IF IS! <br />*******~********************************* <br /> <br />PJ.llllAFR ~ Company ~a.~01o..l'- \ ?lu.",,~\.,~. <br />~ ~ State Cert. or Regist. # Crt... tl_ _ <br />Signatur . ~-LA _ City License Registration ;F <br />********** ****************************** <br /> <br />MFClIAliICAL~ Company .s;o I'-! I'-! '1' 'C <br />State Cert. or Reg1.st. # ;)Ce,'1L. <br />Signature ~ o/~ City License Registration iF ~ <br />****************************************** <br /> <br />Company <br />State Cert. or Regist. # <br />City License Registration IF <br /> <br />OTHER <br /> <br />Signature <br /> <br />****************************************** <br /> <br />APPLICATION APPROVED BY <br /> <br />PERMIT OFFICER. <br />